ADA Reasonable Modification Request

ADA Reasonable Modification Form

In accordance with Title II of the Americans with Disabilities Act (ADA), the Tri-Cities Airport Authority (TCAA) will provide individuals with disabilities with a reasonable modification to its policies, practices, and procedures to ensure access to programs, facilities, and activities. Please complete this form to request a reasonable modification to a TCAA program and/or service. A response to this request will be sent within fifteen (15) days from the date of request.

"*" indicates required fields

Name*

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

Email*

Description of your reasonable modification request:*

Specific date and location where the modification is needed (if applicable):

How is your disability related to the requested modification? State in detail why the modification is needed:*

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Date

Name

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